Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD 036135E | PA |
Y | 208600000X | Surgeon | MD 036135E | PA |
NPI | 1003858077 |
---|---|
Provider Name | Dennis P Brown |
First Address | Washington, PA 15301-3368 |
Second Address | Washington, PA 15301-3368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 09/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1058892 | (05) | PA |
C33093 | (02) |